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General NPI Number Information
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NPI Number | 1659773315
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Entity Type | Organization
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Legal Business Name | HEFTY HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 9100 SOUTHWEST FWY STE 225
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City | HOUSTON
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State | TX
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Zip | 77074-1583
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Country | US
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Telephone | 281-815-5192
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Fax | 832-834-5148
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Provider Business Mailing Address
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Address Line | 9100 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77074-1519
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Country | US
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Telephone | 281-815-5192
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Fax | 832-834-5148
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH U NWANKWO
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Credential |
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Telephone | 832-892-4405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 013228
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License Number State | TX
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